MEDICARE: MAZEN I MADHOUN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	0101247995	VA
2	207QH0002X	Hospice and Palliative Medicine (Family Medicine) Physician	0101247995	VA

General Provider Information

NPI Number	:	1518127927
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAZEN I MADHOUN MD

Provider Business Mailing Address
First Line	:	6002 WINNBROOK LN
Second Line	:
City	:	ROANOKE
State	:	VA
Zip	:	24018-7907
Country	:	US
Telephone Number	:	540-397-5319
Fax Number	:	540-266-3608

Provider Business Practice Location Address
First Line	:	3737 W MAIN ST STE 101
Second Line	:
City	:	SALEM
State	:	VA
Zip	:	24153-2073
Country	:	US
Telephone Number	:	540-380-4500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2008
Last Update Date	:	01/16/2026

Similar Medicare Providers

1255438461 — VALLEY INTERNAL MEDICINE ASSOCIATES P.C.
Practice Location Address:

3737 W. MAIN STREET , STE 102
SALEM, VA
24153-2073

Practice Phone: 540-380-3722
Practice Fax: 833-378-0873

1346659463 — EMILCE SHEPPARD
Practice Location Address:

3737 W MAIN ST STE 101
SALEM, VA
24153-2073

Practice Phone: 540-444-3668
Practice Fax:

1215485883 — BELMONT DIALYSIS LLC
Practice Location Address:

3737 W MAIN ST STE 103
SALEM, VA
24153-2073

Practice Phone: 540-380-3130
Practice Fax: 540-380-3784

1275020521 — CHS, INC
Practice Location Address:

3737 W MAIN ST STE 106
SALEM, VA
24153-2073

Practice Phone: 540-380-2940
Practice Fax: 540-444-7321

1053906628 — DR. SUSAN ANN LINGENFELTER PHARMD
Practice Location Address:

3737 W MAIN ST STE 106
SALEM, VA
24153-2073

Practice Phone: 540-380-2940
Practice Fax: 540-444-7321

1033570692 — SHELLEE RODRIGUEZ
Practice Location Address:

5061 LIBERTY RD S
SALEM, OR
97306-2073

Practice Phone: 503-363-2021
Practice Fax:

Directions to “ MAZEN I MADHOUN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.